Individual
MISS JAMIE LEE DURCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1409 MEADOWBROOK AVE, LAKELAND, FL 33803-2528
(863) 709-8543
(863) 688-2520
Mailing address
1815 CRYSTAL LAKE DR, LAKELAND, FL 33801-5979
(863) 709-9392
(863) 688-2520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA052770
PA
363AM0700X
Medical Physician Assistant
Primary
PA9109519
FL
Other
Enumeration date
10/24/2006
Last updated
09/11/2019
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